经痛舒治疗原发性痛经寒凝血瘀证的临床研究

【作者】 邵梅；

【导师】 陆启滨；

【作者基本信息】 南京中医药大学 ， 中医妇科学， 2006， 硕士

【摘要】 目的：观察经痛舒治疗原发性痛经寒凝血瘀证的临床疗效，为温经散寒、化瘀止痛法治疗原发性痛经的应用提供科学依据。 方法：选取寒凝血瘀型原发性痛经患者60例，随机分为治疗组和对照组。治疗组35例，给予经痛舒汤剂口服；对照组25例，予月月舒颗粒口服。分别于治疗前、治疗3个周期后记录痛经症状及积分，腹痛持续时间，及其他中医症候积分，并检测血液流变学指标。 结果：临床疗效：治疗组与对照组总有效率分别为94.29％、84.00％，两组疗效比较，有显著性差异(P＜0.05)。血液流变学指标：两组在治疗后均可明显改善低切粘度、红细胞压积、高切还原粘度指标，两组间比较红细胞压积指数有显著差异(P＜0.05)。 结论：以温经散寒、化瘀止痛为大法拟方治疗原发性痛经疗效显著。说明温经散寒、化瘀止痛在临床治疗中有明显优势，通过改善机体内环境，促进盆腔血液循环，抑制子宫平滑肌强烈收缩来缓解原发性痛经患者的局部及全身症状，达到更为理想的治疗效果。更多还原

【Abstract】 Objective: To observe the effect of Jing Tong Shu method on Prim ary dysmenorrheal of the type of Congealing cold blood stasis, and provi de scientific basis for the clinical applicationg of Wen Jing San Han and Hua Yu Zhi Tong method (warming meridians to disperse cold , regulatin g vital energy and resolving stasis to stop pain) .Method: 60 cases suffering from primary dysmenorrhea disease (Con gealing cold blood stasis) were selected. They were divided into treatme nt group (n=35) and control group (n=25) with random method. The pat ients in treatment group were given Jing Tong Shu, while in control gro up given Yueyueshu Granule. Before and three menstrual cycles after the treatment, the scores and duration of abdominal pain, the scores of o thersymptoms and signs were recorded. The index of blood rheoiogy wer e also detected.Results:The total effective rates of primary dysmenorrhea disease in treatment and control group wre 94.29% and 84.00% respectively with obvious difference between them (P<0.05). The low-sheard viscosity, he matokrit and high-sheard reduced viscosity could be improved in both gro up (P<0.01) , and there wre obvious difference in hematokrit between th em (P<0.05).Conclusion: It was indicated that Wen Jing San Han and Hua Yu Z hi Tong method had a better effect on Primary dysmenorrhea disease.Th e reason may be correlated with this method regulating organism internal environment , promoting blood circulation of pelvic cavity, relaxing uterine smooth muscle.更多还原